Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $163.30 / $163.30 / $227.27	Facility	26	$163.30	$163.30	$227.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.84 / $163.30 / $645.37	Professional	26	$102.84	$163.30	$645.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.35 / $217.69 / $674.19	Professional	26	$105.35	$217.69	$674.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $282.05 / $329.60 / $505.61	Facility	26	$282.05	$329.60	$505.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $150.91 / $378.25 / $429.83	Professional	26	$150.91	$378.25	$429.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $128.71 / $293.68 / $680.84	Professional	26	$128.71	$293.68	$680.84
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $505.23 / $505.23 / $505.23	Facility	26	$505.23	$505.23	$505.23
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $159.30 / $564.50 / $680.84	Professional	26	$159.30	$564.50	$680.84
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $345.96 / $391.01 / $626.32	Professional	26	$345.96	$391.01	$626.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.41 / $258.73 / $494.78	Professional	26	$123.41	$258.73	$494.78